Our Mission
To help clinical leaders increase adoption of new and proven best practices.
Our Vision
For medicine to forever be human: mindful, imperfect, progressive, social, relational, and joyful.
Our Values
Ownership · Transparency · Curiosity · Community · Personhood · Wonder
Our Name
"metanoia" (μετάνοια) literally means to change one's mind, or to change direction; the root word "meta" (μετά) is after, beyond, transcending; "noia" comes from "nous" (νοῦς), which is mind.
The Changing Minds of Metanoia
Our partners have led clinical change and transformation programs with thousands of physicians across 30+ health systems, helping medical directors turn data and best practices into broad-scale physician trust, adoption, and measurable improvement.




Andrew Trees
Michael van Duren, MD
Stephanie Trees
Trever Burgon, PhD
Managing Partner · 10+ years using data, peer comparison, technology, and interventional science to drive clinical adoption and change.
Managing Partner · 20+ years as provider and payer executive building variation-reduction programs and practicing family medicine.
Managing Partner · 10+ years helping health systems and clinical leaders design, implement, and sustain clinical improvement programs.
Operating Partner · 15+ years partnering with physicians across specialties in QI initiatives with numerous peer-review publications.